NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
The nurse is assessing a client with suspected appendicitis. Which of the following findings would the nurse expect to observe?
Correct Answer: B
Rationale: rebound tenderness at McBurney's point is a classic sign of appendicitis
Question 2 of 5
While planning care for an elderly client with dementia, which of the following should be a priority for the nurse?
Correct Answer: D
Rationale: is most effective when communicating with an elderly client
Question 3 of 5
An elderly man is admitted to an inpatient psychiatric unit with an initial diagnosis of psychotic depression. The INITIAL nursing priority is to
Correct Answer: C
Rationale: initial nursing priority for all psychiatric patients is to ensure their safety and the safety of all members of the milieu
Question 4 of 5
The nurse is caring for a client with a history of congestive heart failure (CHF). Which of the following findings would indicate to the nurse that the client's condition is worsening?
Correct Answer: B
Rationale: weight gain is a sign of fluid retention, indicating worsening CHF
Extract:
The nurse is obtaining a history on a client just admitted to the unit. The client informs the nurse that any information shared with the nurse during the interview is to remain confidential.
Question 5 of 5
Which of the following responses by the nurse is BEST?
Correct Answer: B
Rationale: Strategy: Think about the outcome of each answer choice. (1) the nurse has the obligation to share client information with personnel directly involved with the client's care (2) correct-the nurse is obligated to share client information with personnel directly involved with the client's care (3) the nurse must never agree to keep information confidential without knowing the content of the information (4) the nurse not obligated to report information that is not relevant to the client's care or wellbeing